Individual
DR. JEFFREY D OLSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
PHYSICAL MED. AND REHAB. (117), JAMES QUILLEN VAMC, MOUNTAIN HOME, TN 37684
(423) 926-1171
Mailing address
PHYSICAL MED. AND REHAB. (117), JAMES QUILLEN VAMC, MOUNTAIN HOME, TN 37684
(423) 926-1171
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001739
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0104001739
LICENSE
VA
Enumeration date
05/12/2006
Last updated
07/08/2007
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